Nursing Leadership

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Nursing leadership is essential in the clinical settings. It plays a big role in the development of the nurses as an individual and as a profession. With nursing leadership, management skills are beneficial; nurse leaders are accountable in empowering, influencing, motivating and advocating for the nursing staff and patients. There is a common denomination between the nursing staff providing nursing care in patient satisfaction as an effect on clinical outcome with the nursing leadership. In this discussion paper, the importance of nursing leadership in the health care system and its definition will be conferred. The applicability in the clinical setting and its several effects on nursing staff and patient outcomes will also be discussed. With the use evidence based literature, this paper will elaborate on how nursing leadership will affect on the nursing satisfaction, nursing retention and patient outcome. Shaw (2007) described leadership as that it is having vision, being able to inspire confidence and motivate others in a common vision and goals and works together to accomplish them. Leadership is about passion and commitment (Shaw, 2007). Leadership is a key requirement in organizations, and nurse leaders carry a host of responsibilities. Daly, Speedy and Jackson (2010) defined nursing leadership as a combination of personality traits, knowledge and skills that foster a nurse to become confident, have the ability to motivate, build effective partnership and alliances with others and direct the staff in attaining the optimal clinical outcomes. Arcee (2007) discussed trust as a measure of success and effectiveness of nurse leaders. Their findings reinforce the significance of the leader's role in creating a work environment that supports autonomy and decision-making participation. It also found evidence to support the leader as the most important factor in staff's job satisfaction, productivity, and loyalty. An effective nursing leadership involves a high level of oral and written communication skills, excellence in interpersonal skills, flexibility, and good planning skills and trustworthy (Jackson, 2007). Effectiveness signifies to the extent where an action produced a desired outcome (Sullivan & Decker, 2008). The nurses’ strong leadership skills are of key importance in today’s health care environment. With rising patient acuity, decreased lengths of hospital stay, staffing shortages, pay of performance initiatives, and complex technologies, nurses take on challenging responsibilities (Schwarzkopf, Sherman & Kiger, 2010). Nursing leadership skills influence nursing staff satisfaction, nursing retention, which results in patient satisfaction as an outcome (Robbins & Davidhizar, 2007). Aside from nursing leadership skills, effective nurse leaders that has the ability to act and adapt to change and committed to learning are essential in order to build a competent, confident and efficient nurse and be able to keep up with the changing health care system. Sullivan and Decker (2008) demonstrated a relationship between nursing leadership and staff and patient outcome. Leaders that are relationship- oriented facilitate more positive staff and patient outcomes. This results in an increase of information flow and change, providing diversity of viewpoint and facilitates relational influences among staff. Active support for nurses’ partaking in decision making affects patient care; nursing leaders regarding provision of care used this. The foundation of leadership on a nursing unit is primarily based on the leader. According to Robbins and Davidhizar (2007) a leader who shows high levels of competency, effective decision-making, compassion and trust is gaining the respect of the staff. The leader forms a level of trust with the staff that then feels enriched and motivated to accomplish tasks. Nursing staffs are empowered to deliver excellent patient care, resulting in increased patient satisfaction (Robbin &...
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